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Quality Improvement program

At Aetna Better Health® of Illinois, we take care of the whole you. We’re dedicated to giving you the best health care experience possible. Our Quality Improvement program focuses on preventive health, and our team works with your doctor to make sure you’re getting the highest standard of care.

Our goals and objectives

Our goals and objectives

The mission of our Quality Improvement program includes the following objectives:

 

  • To implement a Quality Improvement program that effectively promotes and builds quality into the daily operations and policies of the health plan

  • To continually monitor and assess member needs, patient care and services so we can ensure members are receiving quality care at the right time

  • To identify and analyze opportunities for improvement with the implementation of actions and follow-up

  • To encourage patient safety through seasonal member communications (for example, flu mailers)

  • To ensure Aetna Better Health meets or exceeds the highest standards of quality by maintaining compliance with local, state and federal regulatory requirements and accreditation standards

Our services

Our services

Our Quality Improvement program provides many services, which include:

 

  • Offering supplemental benefits to encourage wellness, including a preventive incentive program.

  • Sending you helpful postcards and newsletters about your health.

  • Reviewing provider offices to make sure they meet Illinois state standards.

  • Reviewing the quality of our services. We have clinical practice guidelines for certain conditions. If you would like a copy of these guidelines or need more information about our programs, call Member Services at 1-866-329-4701 (TTY: 711).

  • Reminding you and your provider about preventive health care.

  • Measuring your satisfaction with your provider and with your health care services.

  • Monitoring phone calls to make sure your call is answered quickly and you get the correct information.

  • Working with your doctor to make sure they get all the information they need from us to provide you with quality care.

Do you have any questions?

If you want to learn more about our Quality Improvement program, you can call us at 
1-866-329-4701 (TTY: 711)

Information and/or a full copy of Aetna Better Health’s current Quality Improvement program description is available upon request.

NCQA Health plan 5 star
 
NCQA Health Equity

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